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Individual

DR. VIVIAN LOUISE CHWALINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.D.

Contact information

Practice address
704 LONG ST, MOUNTAIN HOME, AR 72653-2917
(479) 739-8600
Mailing address
704 LONG ST, MOUNTAIN HOME, AR 72653-2917
(479) 739-8600

Taxonomy

Speciality
Code
Description
License number
State
174M00000X
Veterinarian
A2325
AR
183500000X
Pharmacist
Primary
PD07069
AR

Other

Enumeration date
04/01/2012
Last updated
04/01/2012
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